I've dealt with acne since I was 12. Did the whole derm route with different creams, Spiro, etc. At 30 did 5 months of Accutane and had a great year, then It came back. Mostly chin and jaw. Terrible. I found Paula's Choice 2% BHA liquid and it solved *most* of the bigger issues (and it will always be an HG and in my medicine cabinet), but still had problems with closed comedones, blackheads etc. Now, I'm 44. So it's keeping acne AND wrinkles at bay. First batch ingredients:– tretinoin 0.009% (unclogs pores and improves skin texture)– clindamycin 1% (antibacterial and anti-inflammatory)– azelaic acid 9% (antibacterial that also fights redness and hyperpigmentation) Gave good results. Next shipment we upped the tretinoin to .018%. Things were good. I was looking to get rid of subscriptions to save $$$. So cancelled this for a few months. Bad idea! Just got back on it at the script I left off with. Some minor purging, but it's also REALLY helping hyperpigmentation fade quickly. I will not be going back off of it again. Also very happy with service, response time, information, and personal attention. Rachel Rivard, NP-C is my provider.